Publication: Kaplan’s Lesion in a Child: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Kaplan’s lesion is a rare complex metacarpophalangeal joint dislocation. A 7-year-old female child presented with pain, swelling and inability to move her right index finger. Her mother gave a history of sustaining a fall injury on the same hand around 3 weeks back. Radiographs showed a complex dorsal metacarpophalangeal joint dislocation. As the injury was already 3 weeks old at presentation, a few attempts at closed reduction were tried, under anaesthesia, which was unsuccessful. So, the patient underwent open reduction through a dorsal approach. At a 1-year follow-up, the patient was pain-free and had regained full range of motion of the index finger metacarpophalangeal joint. The differential diagnosis of Kaplan’s lesion should be considered when a child presents with finger dislocation.
Description
Abhishek Kumar Thakur
Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Nabees Man Singh Pradhan
Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Pramod Devkota
Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Bidur Gyawali
Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Prabhav Majgaiyan Pokhrel
Department of Orthopedics and Trauma Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
Keywords
Joint dislocations, Metacarpophalangeal joint, Open reduction